The unbearable rightness of bedside rationing. Physician duties in a climate of cost containment.

Journal Article (Journal Article)

A local internist is in the process of ordering an intravenous pyelogram for a patient she suspects of having kidney problems, when a medical student shadowing her in clinic interrupts. The student wants to know why the physician is not ordering a low-osmolality contrast agent for the patient, having read that they are less likely to cause serious side effects than high-osmolality contrast agents. The physician realizes that the medical student is correct, but rejects the suggestion, telling the student that "low-osmolality contrast agents are the standard of care for low-risk patients."

Full Text

Duke Authors

Cited Authors

  • Ubel, PA; Arnold, RM

Published Date

  • September 1995

Published In

Volume / Issue

  • 155 / 17

Start / End Page

  • 1837 - 1842

PubMed ID

  • 7677549

Electronic International Standard Serial Number (EISSN)

  • 1538-3679

International Standard Serial Number (ISSN)

  • 0003-9926

Digital Object Identifier (DOI)

  • 10.1001/archinte.1995.00430170025003


  • eng